NPIMap

Organization Active NPI

First Insight Eyecare, LLC

  • Optometrist
  • Grant, NE
National Provider Identifier
1528255668
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
880 Issued in NE
Legal business name
FIRST INSIGHT EYECARE, LLC
Practice address
115 W 3Rd
Grant, NE 69140-0950
Phone
(308) 352-4424
Fax
(308) 352-4294
NPI assigned
Oct 3, 2007
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tim M Meyer, ODNPI 1093703027
Title
Dr./Owner/Manager
Phone
30083524424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 880 NE Primary

Addresses

Primary practice location

115 W 3Rd
Grant, NE 69140-0950

Mailing address

115 W 3Rd
Grant, NE 69140-0950
Phone (308) 352-4424

Other identifiers 1

IdentifierTypeStateIssuer
06860OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000538 NE Part B Supplier - Clinic/Group Practice 6103723960 Receives reassigned benefits from 2 practitioners
Practice locations: Imperial, NE; Ogallala, NE; Grant, NE

National Provider Directory

National Provider Directory

Locations

441 Broadway
Imperial, NE 69033
Phone (308) 352-4424

510 W 12th St
Imperial, NE 69033
Phone (308) 882-4371

1214 W A St
North Platte, NE 69101
Phone (308) 221-6228

105 W 1st St
Ogallala, NE 69153
Phone (308) 284-4194

120 N Spruce St
Ogallala, NE 69153
Phone (308) 284-4194

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1528255668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 3RD",
            "city": "GRANT",
            "state": "NE",
            "postal_code": "691400950",
            "telephone_number": "308-352-4424",
            "fax_number": "308-352-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 3RD",
            "city": "GRANT",
            "state": "NE",
            "postal_code": "691400950",
            "telephone_number": "308-352-4424",
            "fax_number": "308-352-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST INSIGHT EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR./OWNER/MANAGER",
        "authorized_official_telephone_number": "30083524424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06860",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.